A 34-year-old man presents with a penetrating left chest wound. Vital signs show BP 128/82, HR 92, RR 18, temp 37.2°C, SpO2 98%. He develops left-sided Horner syndrome and left arm weakness with loss of pain and temperature sensation on the right leg below T10. MRI reveals a left-sided spinal cord lesion at T1 without cord transection. He denies bowel/bladder dysfunction. Which spinal cord structure is most likely damaged?

  1. A)Right lateral corticospinal tract
  2. B)Central gray matter bilaterally
  3. C)Left lateral funiculus containing sympathetic fibers and spinothalamic tractGABARITO
  4. D)Left ventral corticospinal tract
  5. E)Right dorsal column (fasciculus gracilis)

Explicação

This patient demonstrates Brown-Séquard syndrome: ipsilateral motor weakness (left corticospinal tract) and Horner syndrome (left sympathetic tract in lateral funiculus), with contralateral pain/temperature loss (right spinothalamic tract crossing 1-2 segments... Ver explicação completa e trilha adaptativa →

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